| NPI | 1124845250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS LOUIS President 310-251-5873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-09-20 |
| Last Update Date | 2025-04-03 |