| NPI | 1891188371 |
|---|---|
| Other Name | CALLEROS DENTAL |
| Entity Type | Organization |
| Authorized Contact | SANDRA CALLEROS Owner 310-414-9564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 35478) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 62902) |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2015-03-09 |