| NPI | 1093906554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAITHAM MATAR Dentist Owner 818-559-3444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 41650) |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2007-08-08 |