NPI | 1245629666 |
---|---|
Entity Type | Organization |
Authorized Contact | SANDRA LORENZANA Financial COO Rdinator 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 |