| NPI | 1306040597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINOSKA ESPINOZA Administrator 323-221-5931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 29354) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2014-04-18 |