NPI | 1164810305 |
---|---|
Entity Type | Organization |
Authorized Contact | GERARDO MERCADO Owner/Officer 323-634-9333 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 59598) |
Enumeration Date | 2014-12-22 |
Last Update Date | 2015-01-15 |