| NPI | 1477870665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA RODRIGUEZ Manager 213-842-0538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 24875) |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2011-01-14 |