NPI | 1326306077 |
---|---|
Doing Business As | EL CAMINO FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | AMELIA L QUIZON Owner 310-327-0001 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 41850) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 47995) |
Enumeration Date | 2012-05-01 |
Last Update Date | 2012-05-01 |