| NPI | 1821278508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTINA B GAMBOA President 818-247-2611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA B43600) |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2007-11-09 |