| NPI | 1588178065 |
|---|---|
| Doing Business As | CHINO FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | WANDA PEREZ Administrator 323-585-3332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2017-11-20 |