| NPI | 1720323371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENITAN CASSANDRA IBRAHIM President 661-294-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 50613) |
| Enumeration Date | 2012-12-09 |
| Last Update Date | 2012-12-09 |