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 |