NPI | 1013101690 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTIE RACHELLE BURNETT Partner 310-216-5754 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 47352) |
Enumeration Date | 2007-08-28 |
Last Update Date | 2007-08-28 |