| NPI | 1407906886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA Y PRASOL Doctor 661-297-7580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 49641) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2020-08-22 |