NPI | 1881437135 |
---|---|
Entity Type | Organization |
Authorized Contact | JUAN GILBERTO LOZANO Owner 626-672-0224 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2024-06-14 |
Last Update Date | 2024-06-14 |