| NPI | 1538511738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTY BARTON Ins Coordinator 562-352-0434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 48630) |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2016-07-12 |