NPI | 1639548035 |
---|---|
Doing Business As | OLIVEROS DENTISTRY |
Entity Type | Organization |
Authorized Contact | MARIA RAYE OLIVEROS President 310-940-4868 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 55973) |
Enumeration Date | 2015-09-16 |
Last Update Date | 2015-09-16 |