| NPI | 1649665985 |
|---|---|
| Doing Business As | PERMADENT |
| Entity Type | Organization |
| Authorized Contact | MARIAELENA RODRIGUEZ President 310-325-9969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist Prosthodontics (Licence: CA 47413) |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2015-04-03 |