NPI | 1245424399 |
---|---|
Entity Type | Organization |
Authorized Contact | ROSE MARIE BANIQUED QUIMSON General Dentist 310-538-4496 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 39873) |
Enumeration Date | 2007-08-31 |
Last Update Date | 2007-08-31 |