| NPI | 1568705648 |
|---|---|
| Doing Business As | N/A |
| Entity Type | Organization |
| Authorized Contact | JOSEPH JETT FERNANDEZ ZAPANTA Dentist 626-337-4277 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 035048) |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2013-03-27 |