| NPI | 1043231392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP ISAAC KRESS President 562-924-8663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 28179) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-08-22 |