| NPI | 1033455738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY SCOTT Office Manager 818-831-8252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: CA 46197) |
| Enumeration Date | 2012-12-27 |
| Last Update Date | 2012-12-27 |