| NPI | 1154531432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE CHANTAL MANSOUR President 310-902-7775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 49374) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2014-12-10 |