| NPI | 1558471565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL VIDAL ABARCA President 310-764-2555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 38953) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2019-10-04 |