| NPI | 1497157085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYLA RODRIGUEZ-SANTIAGO President 818-726-1597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 58558) |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2014-09-25 |