NPI | 1033121405 |
---|---|
Entity Type | Organization |
Authorized Contact | TAMMY R. ALSOBROOK Office Manager 310-278-9624 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 18295) |
Enumeration Date | 2006-08-13 |
Last Update Date | 2020-08-22 |