NPI | 1003182478 |
---|---|
Entity Type | Organization |
Authorized Contact | VICTORIA SAFYAM Financial/Insurance Adm. 310-208-5758 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2012-03-29 |
Last Update Date | 2012-03-29 |