| NPI | 1255548871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE LOUISE B TABORA President 818-956-6101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 42429) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2009-03-25 |