| NPI | 1629567821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA JAMES LAGATTA President 562-773-6057 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 49919) |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2018-05-03 |