| NPI | 1396933289 |
|---|---|
| Doing Business As | WILSHIRE DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | JENNIFER R. PARK-CRUZ President 213-385-0053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 51126) |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2007-10-05 |