| NPI | 1871614818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENIFER B LABRADOR Dentist Owner 310-835-9010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 42840) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 42840) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2008-06-23 |