| NPI | 1568224772 |
|---|---|
| Doing Business As | SOUTH PASADENA DENTAL |
| Entity Type | Organization |
| Authorized Contact | ARKADY S TSIBEL President 626-441-6234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2024-01-24 |
| Last Update Date | 2024-01-24 |