| NPI | 1922303809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIA LARISSA ANCHETA Partner 562-927-9050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: CA 47839) |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2011-01-24 |