NPI | 1134304728 |
---|---|
Doing Business As | DENTAL CENTER OF WEST LA |
Entity Type | Organization |
Authorized Contact | JACOB J SLUTSKY Owner 310-474-5575 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 40311) |
Enumeration Date | 2008-01-02 |
Last Update Date | 2008-01-02 |