| NPI | 1134118078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHESTER W KAUFMAN Owner/Dentist 310-677-9101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA B19914) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA B19018) |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2020-08-22 |