| NPI | 1801384938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSH JAMES LAGATTA President 562-773-6057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 49919) |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2018-04-24 |