| NPI | 1588930366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE FANG-LALAS President 818-795-1391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 52386) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2012-03-27 |