| NPI | 1003270869 |
|---|---|
| Former Legal Business Name | RETRO DENTAL GROUP HIGHLANDS |
| Entity Type | Organization |
| Authorized Contact | DARREN KESSLER Dentist 818-681-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2016-04-07 |