| NPI | 1427207844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENIDE ARIAS Dentist 818-625-1271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 55249) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2024-05-16 |