| NPI | 1275775082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILAGROS L. LIM Hr Admin/Accounts 323-951-0814 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 43190) |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2021-03-24 |