| NPI | 1205381340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIDA RIOGA RELATIVO Dentist 818-718-2566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 39877) |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2016-08-18 |