| NPI | 1730238023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA H OLVEA Pres 323-721-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 26050) |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |