| NPI | 1366636524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES SURDILLA President 562-633-8848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 46529) |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2015-10-09 |