| NPI | 1801075676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAXIMA J ERNACIO President 213-483-8756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 44167) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2008-07-15 |