| NPI | 1538556147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LA TOYA CHANGE MORRIS Dentist 323-295-3397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 47759) |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2015-04-21 |