| NPI | 1417220732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA PATRICIA PARROQUIN Director 626-960-9966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 56576) |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2012-02-16 |