| NPI | 1265615553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICK A. AGPALO Owner/Dental 323-550-8341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 32257) |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2007-12-10 |