NPI | 1134698467 |
---|---|
Doing Business As | ORTEGA COTTAGE DENTISTRY |
Entity Type | Organization |
Authorized Contact | MICHAEL KIM President 213-820-1457 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2018-11-15 |
Last Update Date | 2018-11-15 |