| NPI | 1215296074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELEANORE SALAPARE CRUZ Owner 323-244-0683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 56355) |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2012-05-14 |