| NPI | 1235377672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDITH SUSANA MELGAR Assistant 213-841-9302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 4490656) |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2009-01-22 |