| NPI | 1023401858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMA M NOWAIN Office Manager 323-931-3881 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 40005) |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2015-03-18 |