| NPI | 1790169878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALINA SANCHEZ ASIDERA President 818-715-9374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 55992) |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2015-07-17 |