| NPI | 1225367295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANOLO PASCUAL NICOLAS President 323-665-1261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 39316) |
| Enumeration Date | 2009-12-21 |
| Last Update Date | 2009-12-21 |