| NPI | 1114516515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELENE JULIUS CEO 310-435-1074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| 261QH0100X Clinic/Center Health Service | |
| 261QS1200X Clinic/Center Sleep Disorder Diagnostic | |
| 292200000X Dental Laboratory | |
| Enumeration Date | 2021-01-12 |
| Last Update Date | 2024-11-05 |