| NPI | 1013401314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES JOSEPH BECK Owner/ Dentist 818-495-5955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 61770) |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2023-02-28 |