| NPI | 1548575996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND FABIAN CORDERO Director 562-480-6011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NV 4725) |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2010-08-10 |