| 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 |