NPI | 1912405119 |
---|---|
Entity Type | Organization |
Authorized Contact | NELLIE M MEMBRENO Front Office/Manager 626-332-7311 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 47170) |
Enumeration Date | 2018-01-23 |
Last Update Date | 2018-01-23 |