| NPI | 1932381266 |
|---|---|
| Other Name | EAGLE ROCK FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | RK CHETTY Dentist 323-258-2885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 26360) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2007-11-28 |