| NPI | 1730434408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISRAEL J TRUJILLO President 310-966-0954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: CA 58761) |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2012-07-19 |