| NPI | 1548567480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GONZALO CORZO President/CEO 323-798-5427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 52366) |
| Enumeration Date | 2011-02-11 |
| Last Update Date | 2011-05-12 |