| NPI | 1730467044 |
|---|---|
| Doing Business As | MY TOOTH PLACE |
| Entity Type | Organization |
| Authorized Contact | AURY ARROYO LOURENCO President 714-539-7974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: CA 56298) |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2011-08-03 |