| NPI | 1063950244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDY SCOTT Tx COO Rdinator 310-201-9001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 52126) |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2017-02-07 |