NPI | 1316211808 |
---|---|
Doing Business As | CHILDRENS DENTAL GROUP-EAGLE ROCK |
Entity Type | Organization |
Authorized Contact | CORINA RAMIREZ Owner 323-987-2175 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 52676) |
Enumeration Date | 2012-02-29 |
Last Update Date | 2012-04-24 |