| NPI | 1205175866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTILTA GARCIA TORRES Dr./Owner 310-221-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 39218) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: CA 39218) |
| Enumeration Date | 2013-02-01 |
| Last Update Date | 2017-12-28 |