NPI | 1992314421 |
---|---|
Entity Type | Organization |
Authorized Contact | MANUEL FUENTES Billing Manger 310-870-9652 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Enumeration Date | 2020-07-30 |
Last Update Date | 2020-07-30 |