| NPI | 1669675005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELIA ABREGO Receptionist 323-582-8463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA DK036612) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2020-08-22 |