| NPI | 1154722254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY DUNCAN Chief Executive Officer 310-515-1490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 34086) |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2014-09-08 |