| NPI | 1164656807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID E. GRANT Dentist/Officer 213-926-8835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 51070) |
| Enumeration Date | 2009-05-10 |
| Last Update Date | 2015-06-05 |