NPI | 1477857571 |
---|---|
Entity Type | Organization |
Authorized Contact | RONALYN T. RAYMUNDO Dentist, Owner, President 626-359-4595 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 40194) |
Enumeration Date | 2011-01-04 |
Last Update Date | 2011-01-28 |