| NPI | 1790228849 |
|---|---|
| Doing Business As | LONG BEACH FAMILY DENTIST |
| Entity Type | Organization |
| Authorized Contact | ANTONIA M MORALEZ Office Manager 562-439-6562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2019-12-13 |