| NPI | 1558544627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR M ROSALES Owner/ Dentist 626-938-1236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: CA 55369) |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2019-08-01 |