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 |