NPI | 1861565020 |
---|---|
Entity Type | Organization |
Authorized Contact | REBECCA ALMONEDA RATON Dentist Owner 310-326-3657 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 45180) |
Enumeration Date | 2006-11-16 |
Last Update Date | 2012-03-07 |