| NPI | 1013271105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM KALILI Dentist/Owner 310-273-6637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 34503) |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2012-07-03 |