| NPI | 1770752479 |
|---|---|
| Other Name | ALTAMED COMMUNITY CARE DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JOSE ESPARZA VP Finance, CFO 323-725-8751 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2008-02-27 |