| NPI | 1922644293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FABRIZIO DALL'OLMO Owner/Dentist 562-309-4433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2019-12-12 |