| NPI | 1568678118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECILIA MARIA JUANA T. LONTOC President Owner 310-782-6155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 39037) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |