| NPI | 1932253184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN YAMAMANTO Clenal Director 310-392-4103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA D40407) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |