| NPI | 1174679914 |
|---|---|
| Other Name | WESTSIDE DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | ROBERT HAZANY Dentist 818-998-7645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 39963) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2011-03-04 |