| NPI | 1124162987 |
|---|---|
| Former Legal Business Name | DR MICAHEL KESELBRENER DDS INC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL RUVUN KESELBRENER Dds 310-859-2432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 45887) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2008-08-08 |