| NPI | 1245629666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA LORENZANA Financial Coordinator 310-375-0001 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 42884) |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2015-03-05 |