NPI | 1780842310 |
---|---|
Doing Business As | LIVE OAK DENTAL |
Entity Type | Organization |
Authorized Contact | MARIA LUISA ALMAZAN CO CEO 626-898-0008 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 49500) |
Enumeration Date | 2008-05-30 |
Last Update Date | 2009-11-06 |