| NPI | 1174849400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERNANDO BARR FERNANDEZ Dentist/Owner 323-722-6360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 49517) |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2010-04-12 |