NPI | 1669671210 |
---|---|
Entity Type | Organization |
Authorized Contact | JUNE CINCO SIRON President 323-935-5583 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 42612) |
Enumeration Date | 2007-07-13 |
Last Update Date | 2007-07-17 |