| NPI | 1942082698 |
|---|---|
| Doing Business As | LA DENTAL BRACES |
| Entity Type | Organization |
| Authorized Contact | AMANDA WOLFF Manager 213-423-1127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-10-17 |
| Last Update Date | 2023-10-17 |