NPI | 1649674581 |
---|---|
Doing Business As | DENTAL STUDIO |
Entity Type | Organization |
Authorized Contact | JACQUELINE V LOPEZ Dentist 818-255-2244 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 62003) |
Enumeration Date | 2014-10-21 |
Last Update Date | 2014-10-21 |