| 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 |