| NPI | 1326269770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WELLINGTON H.W. JOE President 310-530-9893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 25549) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2014-06-26 |