| NPI | 1447441597 |
|---|---|
| Former Legal Business Name | GERTRUDES MANGANAAN VELENA DENTAL CORP |
| Entity Type | Organization |
| Authorized Contact | RICARDO ESPANOLA PECAOCO Office Manager 213-413-3910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 49425) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2018-10-16 |