| NPI | 1356724587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENSON B. DIMARANAN Administrative Director 562-202-5741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 27704) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2015-07-07 |