| NPI | 1356609762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT PACHECO Executive Director 213-201-2745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 960000308) |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2012-04-24 |