NPI | 1114306354 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY SHVARTSMAN President 310-909-7403 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 61638) |
Enumeration Date | 2015-05-20 |
Last Update Date | 2015-05-20 |