| NPI | 1174744544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA RAMOS Office Manager 323-756-1463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 34335) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |