| NPI | 1023166600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANATOLY VAISMAN Owner/Dentist 818-365-7191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 88476-48) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2017-10-23 |