| NPI | 1659513281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY FELICITY TORDECILLA AQUINO President 818-360-0957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 45085) |
| Enumeration Date | 2009-03-27 |
| Last Update Date | 2009-03-27 |