| NPI | 1982704839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENATO LIMEN CALUGCUGAN Owner 323-664-0777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 35079) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-08-22 |