| NPI | 1750421319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINA M SAN GABRIEL Dentist 818-557-0964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 44218) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2015-01-29 |