| NPI | 1457775660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIS YVONNE SORRELL President 562-427-1426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 31711) |
| Enumeration Date | 2014-02-07 |
| Last Update Date | 2014-02-07 |