| NPI | 1194065078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC OLIN JOHNSON President 310-540-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 34125) |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2013-02-28 |