| NPI | 1669862371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOURDES SANTOS AQUINO Owner/ Dentist 818-785-7498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 50435) |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2021-08-14 |