| NPI | 1932419868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO ISMAEL URIZAR Owner 818-890-6442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 44374) |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2010-10-13 |