| NPI | 1336209600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARINA A DIZON-JOVEN President 323-255-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 49301) |
| Enumeration Date | 2006-12-09 |
| Last Update Date | 2007-09-20 |