| NPI | 1306223862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA CHAN CASTELO Dr 323-666-3852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 40554) |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2015-05-04 |