| NPI | 1164532917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALVIN RUSSELL DEVNICH President 818-246-2253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 18815) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |