| NPI | 1508010497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA ORELLANA Office Manager 323-734-1534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 17879) |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2008-11-05 |