| NPI | 1093106627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURENCE RIFKIN Dentist 310-273-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 26116) |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2015-02-18 |