NPI | 1407063852 |
---|---|
Entity Type | Organization |
Authorized Contact | FRED HIROSHI MATSUMOTO President 562-860-5597 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 19932) |
Enumeration Date | 2007-05-16 |
Last Update Date | 2020-08-22 |