NPI | 1760806376 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES EUGUENE ROTA President 310-208-4297 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 16978) |
Enumeration Date | 2014-02-18 |
Last Update Date | 2014-10-01 |