| NPI | 1629501226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRIAM ZUNIGA BERNARDEAU General Dentist 310-848-0210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 62065) |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2018-07-10 |