| NPI | 1528764255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE E CEDILLO FELIX Owner Dentist 562-481-8610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2023-02-03 |
| Last Update Date | 2023-02-03 |