| NPI | 1457412249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVANGELOS ROSSOPOULOS Secretary 562-907-4522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 31027) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: CA 36605) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |