| NPI | 1437780442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HIRAM AMADO GARCIA-RIVERA Owner 818-462-1703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2020-01-29 |