| NPI | 1063031284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET SCHRODI Dentist 818-739-0182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2020-04-09 |