| NPI | 1912096215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH THOMAS CHESS President Owner 323-682-1133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 17658) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-08-22 |