| NPI | 1548383847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCINE I JACKSON President/Owner 562-235-0062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 43899) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2021-07-13 |