| NPI | 1659757698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZ QUIJADA Office Manager 310-323-2320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 52984) |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2019-05-28 |