| NPI | 1619004090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA YOLANDA Front Office Staff 562-434-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 42768) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |