| NPI | 1386017085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA G ESPINOZA Owner 818-370-1714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 31496) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 31496) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2015-11-04 |