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 |