| NPI | 1528607702 |
|---|---|
| Doing Business As | TIMES SQUARE FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | JAVIER PEREZ Manager/General Dentist 323-282-8318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-01-05 |
| Last Update Date | 2020-01-05 |