| NPI | 1124252564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL C SMITH Owner 818-889-4448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine (Licence: CA G58593) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 29998) |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2009-05-13 |