| NPI | 1003932112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROMEO I STOLL CEO 661-948-4674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 19466) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2009-12-15 |