NPI | 1073870978 |
---|---|
Entity Type | Organization |
Authorized Contact | SCOTT GOULD NEWHART President 310-677-9101 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 30611) |
Enumeration Date | 2012-04-16 |
Last Update Date | 2012-04-16 |