| NPI | 1629648860 |
|---|---|
| Doing Business As | SOCAL TOOTH CO |
| Entity Type | Organization |
| Authorized Contact | BRAN'D HUTALLA ESTELLA Dentist 323-369-8228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2022-02-22 |