| NPI | 1023128816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE L FORBES Owner 626-939-0639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 28926) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2008-09-02 |