| NPI | 1891986345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS FRANK MASCOLA Owner President 310-831-2377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 19931) |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2015-04-06 |