| NPI | 1689857013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LETICIA R. TOLENTINO Dentist/Owner 310-522-9769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 41798) |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2007-12-07 |