| NPI | 1316336068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOPHIE (YOON MI) MATRACIA Pediatric Dentist, Owner 310-902-5927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OH 30.022533) |
| Enumeration Date | 2015-01-19 |
| Last Update Date | 2015-01-19 |