| NPI | 1881885226 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | VALERY SANDRA SWEENY Owner/President 323-669-0339  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 42616)  | 
| Enumeration Date | 2007-08-08 | 
| Last Update Date | 2015-06-03 |