| NPI | 1235514530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY TORRES Partner 323-589-6765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: CA 33678) |
| Additional Taxonomies | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: CA 37976) |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2015-07-28 |