NPI | 1144517343 |
---|---|
Doing Business As | INFINITE DENTAL WELLNESS |
Entity Type | Organization |
Authorized Contact | LEON KIRK KIRAJ President/Managing Dentist 310-666-0226 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: CA 56744) |
Additional Taxonomies | 261QD0000X Clinic/Center Dental (Licence: CA 57360) |
Enumeration Date | 2011-07-08 |
Last Update Date | 2013-10-29 |