| NPI | 1366684672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVANGELOS ROSSOPOULOS Secretary 626-854-9530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: CA 31027) |
| Additional Taxonomies | 1223P0700X Dentist Prosthodontics (Licence: CA 36605) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2012-01-05 |