| NPI | 1225239395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA MANUEL President 562-433-6735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 46493) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2007-07-10 |