| NPI | 1144669086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH R ROSENBERG Owner 626-286-2156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 124Q00000X Dental Hygienist |
| 126800000X Dental Assistant | |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2019-06-13 |