| NPI | 1790798684 |
|---|---|
| Doing Business As | CARSON FAMILY DENTAL OFFICE |
| Entity Type | Organization |
| Authorized Contact | ELENITA B LIWANAG Dr VP 310-835-7088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 38027) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: CA 38963) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2020-08-22 |