| NPI | 1013187160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONIA FERRAN President 866-887-3399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019026423) |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2008-03-05 |