| NPI | 1144544016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY FARD Pediatric Dentist/Owner 310-210-3952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 052977) |
| Enumeration Date | 2010-03-22 |
| Last Update Date | 2010-03-22 |