| NPI | 1366858896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMELITO R. REYES President 818-340-2782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 42404) |
| Enumeration Date | 2014-07-04 |
| Last Update Date | 2014-07-04 |