NPI | 1063547818 |
---|---|
Entity Type | Organization |
Authorized Contact | GARY PAUL TOBIN Owner 818-990-5240 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 035559) |
Enumeration Date | 2007-02-22 |
Last Update Date | 2013-02-27 |