| NPI | 1770648065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOIDA B PARUNGAO President 323-461-5696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 32378) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2020-08-22 |