NPI | 1609089507 |
---|---|
Entity Type | Organization |
Authorized Contact | SAMUEL C ROXAS President 213-382-5650 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 41532) |
Enumeration Date | 2007-05-07 |
Last Update Date | 2020-08-22 |