| NPI | 1811171077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINO C. HERNANDEZ Dentist/Owner 323-725-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 49332) |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2007-12-24 |