| NPI | 1780395947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK FRANCISCO PITA Owner/President 310-433-2374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2022-12-08 |
| Last Update Date | 2022-12-08 |