| NPI | 1891889291 |
|---|---|
| Doing Business As | ATLANTIC SQUARE DENTAL |
| Entity Type | Organization |
| Authorized Contact | GORETTI LI Dentist 323-888-0681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 40960) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |