| NPI | 1063108256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOAM GREENBAUM Owner Dentist 818-528-8755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2023-04-12 |