| NPI | 1295867414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AQUILEO MARTINEZ DE LA CRUZ Owner 323-261-4838 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 42362) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2012-06-21 |