| NPI | 1699970848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSCAR RAMIRO TRIGOSO Owner 323-581-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 41686) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2008-06-18 |