| NPI | 1720298052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY JO Office Manager 213-389-0937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 32333) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |