| NPI | 1205418720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY B REZNICK Partner 818-578-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2021-04-23 |
| Last Update Date | 2021-04-23 |