| NPI | 1457835068 |
|---|---|
| Doing Business As | BURBANK DENTAL |
| Entity Type | Organization |
| Authorized Contact | ARACELI SIFUENTES Billing Manager 323-835-6840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2021-03-23 |