| NPI | 1922653096 |
|---|---|
| Doing Business As | SOUTH PASADENA DENTAL |
| Entity Type | Organization |
| Authorized Contact | ARKADY TSIBEL President 626-325-0331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| 1223G0001X Dentist, General Practice | |
| 1223P0300X Dentist, Periodontics | |
| 1223P0700X Dentist, Prosthodontics | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2019-08-06 |