| NPI | 1023208246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH MOIRA BECKER Owner President 310-543-3292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 34065) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2007-07-25 |