NPI | 1578952776 |
---|---|
Former Legal Business Name | LELA DEKANO, DDS |
Entity Type | Organization |
Authorized Contact | LELA DEKANO Dentist, Owner 310-275-1137 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 45450) |
Enumeration Date | 2015-01-12 |
Last Update Date | 2015-03-27 |