| NPI | 1144499062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES F. MULICK President 818-991-7522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA D13402) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2008-09-25 |