| NPI | 1588800510 |
|---|---|
| Doing Business As | PLAYA VISTA ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | FABIOLA ORTEGA-FRASCH Manager 310-216-0101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 61908) |
| Enumeration Date | 2008-12-22 |
| Last Update Date | 2016-01-25 |