| NPI | 1982759148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALGIS V. LASAS Sole Proprietor 310-215-9156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 20552) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2012-04-12 |