| NPI | 1881900157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERIE S PARK Owner Dentist 213-703-8131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 57922) |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2010-08-25 |