NPI | 1679740864 |
---|---|
Entity Type | Organization |
Authorized Contact | ADRIAN ACOSTA President 562-905-8338 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 33769) |
Enumeration Date | 2008-05-15 |
Last Update Date | 2008-05-15 |