| NPI | 1427176320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILTON GUIDO BRANDOLINO President Owner 310-899-9432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 15020) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |