| NPI | 1215293733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMA NKWAM Director Of Risk And Compliance 323-669-4346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 550001649) |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2021-09-30 |