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 |