| NPI | 1710187349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMIL ALMENDRALA MACASAET President 818-881-0501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 55289) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2020-03-03 |