| NPI | 1841627825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA CARO Insurance Biller 323-576-6143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2013-10-04 |
| Last Update Date | 2025-02-14 |