| NPI | 1467669291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELMER ESPANOLA BANGLOY Owner, President 323-256-1225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA DG-032020) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |