| NPI | 1639322431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GILBERTA LETICIA GALVEZ Dentist 323-294-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 56689) |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2008-10-24 |