| NPI | 1255597027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS FERNANDO SOSA-TURCIOS Dentist 818-888-7962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: CA 50827) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2008-07-31 |