| NPI | 1841905148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH HERMOSILLO Owner 818-571-5338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist |
| Additional Taxonomies | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2023-01-20 |
| Last Update Date | 2023-01-21 |