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 |