| NPI | 1407194350 |
|---|---|
| Doing Business As | AMALIA DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | FRANK LAALY CEO 323-488-3366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 56900) |
| 261QD0000X Clinic/Center Dental | |
| 261QS0112X Clinic/Center Oral and Maxillofacial Surgery | |
| 292200000X Dental Laboratory | |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2024-01-06 |