| NPI | 1588862106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN PABLO FALABELLA Dentist 818-837-1660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 49310) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2007-07-11 |