| 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 |