| NPI | 1871992081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALINA TIRASPOLSKAYA General Dentist 323-497-1303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 57682) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2014-08-14 |