| NPI | 1831307610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA MARTHA AVENDANO-GALVEZ President Dentist Owner 310-323-0290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 37079) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2017-03-27 |