| NPI | 1235371600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA CARLOS Office Manage 818-365-7191 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 43259) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2009-04-01 |