| NPI | 1275707838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SREELATHA YASALAPU Dentist 661-410-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 50548) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2008-04-15 |