| NPI | 1659085587 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | SAUNDRA MICHELE ALVAREZ VP Revenue Management 562-965-3304  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223G0001X Dentist, General Practice | 
| Enumeration Date | 2023-01-05 | 
| Last Update Date | 2023-01-05 |