| NPI | 1235463688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN S GOMEZ-BABA Dentist/Owner 323-660-8778 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 36545) |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2009-10-01 |