| NPI | 1922511922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAELENA RODRIGUEZ Doctor 310-378-9261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: CA 47413) |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2017-11-13 |