| NPI | 1720303407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY LYNN LOWMAN President 562-493-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 54584) |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2010-04-06 |