| NPI | 1124599006 |
|---|---|
| Doing Business As | WOODSTONE PLAZA DENTAL |
| Entity Type | Organization |
| Authorized Contact | GARRETT RUSSIKOFF Presidet/ CEO 818-701-5126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2018-12-17 |