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 |