NPI | 1336674019 |
---|---|
Entity Type | Organization |
Authorized Contact | FLORIDALMA LINARES Owner 323-467-8768 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 46872) |
Enumeration Date | 2017-05-01 |
Last Update Date | 2017-05-11 |