| NPI | 1962224279 |
|---|---|
| Other Name | EXPRESS DENTAL |
| Entity Type | Organization |
| Authorized Contact | TATSIANA ZHAMOITSINA President 323-695-2174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2024-10-28 |
| Last Update Date | 2024-10-30 |