| NPI | 1184955817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAUSTUBH K MARATHE Dentist (Owner) 310-936-2531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 51358) |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2010-01-20 |