| NPI | 1376940734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA PATRICIA PARROQUIN President/ Dentist 818-763-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 56576) |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2018-12-19 |