| NPI | 1982609137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE RICHARD PERRI President 562-698-8272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 30000) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 35472) |
| 1223P0700X Dentist, Prosthodontics (Licence: CA 42756) | |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2020-08-22 |