NPI | 1225442395 |
---|---|
Doing Business As | THE LOFT DENTAL STUDIO |
Entity Type | Organization |
Authorized Contact | KOUICHI CLIFF ITOH Dentist 714-549-7030 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 39420) |
Enumeration Date | 2014-06-17 |
Last Update Date | 2014-06-17 |