| NPI | 1659889715 |
|---|---|
| Doing Business As | ROYAL FAMILY DENTAL INC |
| Entity Type | Organization |
| Authorized Contact | ELVIS BAQUERO Dentist 310-561-8711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 49059) |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2018-01-11 |