| NPI | 1326410135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE GRACE CATALAN QUIJANO President/Owner 213-270-5309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 64380) |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2015-10-21 |