| NPI | 1194108753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEAVERLY MARTINEZ CATALAN Dentist, Owner 310-373-9522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 43327) |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2015-07-01 |