| NPI | 1376698993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISSA LAGUSAY-TEMPLO Owner 213-384-5902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 41446) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |