NPI | 1174839922 |
---|---|
Entity Type | Organization |
Authorized Contact | LOUIS FRANK MASCOLA President 310-773-5950 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 19931) |
Enumeration Date | 2010-08-30 |
Last Update Date | 2010-08-30 |