| 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 |