| NPI | 1902012453 |
|---|---|
| Former Legal Business Name | LAWRENCE H. OTA, DDS & AILEEN E. JITSUMYO, DDS A PROFESSIONAL CORPORAT |
| Entity Type | Organization |
| Authorized Contact | PHILIP LIVINGOOD Secretary 562-596-1664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 27471) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: CA 31361) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2015-04-03 |