| 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 |