| NPI | 1447059381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE MARCELO AQUINO Pediatric Dentist 818-642-5272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry |
| Enumeration Date | 2025-03-12 |
| Last Update Date | 2025-03-12 |