| NPI | 1194879627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN HAZANY Partner 213-484-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 39963) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 41084) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2008-06-13 |