| NPI | 1174291363 |
|---|---|
| Doing Business As | WILSHIRE DENTAL OFFICE |
| Entity Type | Organization |
| Authorized Contact | MARCELA MARTINEZ Office Manager 818-432-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2022-11-17 |