NPI | 1174649065 |
---|---|
Entity Type | Organization |
Authorized Contact | NICHOLAS JOHN BRAJEVICH Partner 310-378-1283 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 41064) |
Enumeration Date | 2007-03-22 |
Last Update Date | 2009-07-08 |