| NPI | 1124385026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN ANN S SOLLER Office Manager 818-545-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 55213) |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2012-04-16 |