NPI | 1629450598 |
---|---|
Entity Type | Organization |
Authorized Contact | LOURDES BUENO CAPULONG Dentist 323-257-7582 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 40551) |
Enumeration Date | 2015-06-26 |
Last Update Date | 2015-06-26 |