| NPI | 1649339714 |
|---|---|
| Doing Business As | FAMILY DENTAL GROUP AT LANKERSHIM |
| Entity Type | Organization |
| Authorized Contact | GODOFREDO CASTELO ANGELES President 818-767-4215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA G92074-01) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-08-22 |