| NPI | 1548431018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUILLERMO JAVIER RUBIANO Dentist/President 310-832-4916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 36828) |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2014-03-25 |