| NPI | 1154314060 |
|---|---|
| Doing Business As | ST FRANCIS HOSPITAL DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | ALPHONSO FAISON Corporation Secretary 310-537-2217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 25252) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 37330) |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2020-08-22 |