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 |