NPI | 1770929747 |
---|---|
Entity Type | Organization |
Authorized Contact | MARISSA FAELDAN-SUAREZ Pediatric Dentist 626-379-1110 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 58944) |
Enumeration Date | 2013-05-17 |
Last Update Date | 2013-05-17 |