NPI | 1205808243 |
---|---|
Entity Type | Organization |
Authorized Contact | DAGMAR JOHANNA RAMSTRUM Owner 323-753-1411 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 2642169-3) |
Enumeration Date | 2006-02-03 |
Last Update Date | 2020-08-22 |