| NPI | 1144646696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BERNARD ROSENTHAL Office Manager 818-893-9222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 36912) |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2014-06-10 |