| NPI | 1184801789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNIE ANN MOLATO Owner/Dentist 818-988-8184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 44948) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 48054) |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2023-03-07 |