| NPI | 1912116971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA LIGIA GUTIERREZ Owner Managing Dentist 310-676-2442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA D44176) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-11-14 |