| NPI | 1750077301 |
|---|---|
| Former Legal Business Name | CRL3 LLC |
| Entity Type | Organization |
| Authorized Contact | CARLA BELGARDE-DURU Owner 310-505-2509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-04-17 |
| Last Update Date | 2023-04-17 |