| NPI | 1740484393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTO PARRA President 213-625-7575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 82922408) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2020-08-22 |