| NPI | 1225125446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLARD HANKINS CEO 562-421-8206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 36552) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 36552) |
| Enumeration Date | 2006-10-08 |
| Last Update Date | 2009-01-15 |