NPI | 1104234665 |
---|---|
Entity Type | Organization |
Authorized Contact | VYNIAMIN G GURALNIK President 818-365-9177 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 30218) |
Enumeration Date | 2014-07-29 |
Last Update Date | 2014-07-29 |