| NPI | 1215094925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERBERT G MARTIN Corp President 310-833-4439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA CAL13684) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 13684) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |