NPI | 1548234594 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL PHILLIP SHINTO President 626-796-8904 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 33019) |
Enumeration Date | 2006-02-15 |
Last Update Date | 2008-10-14 |