| NPI | 1225414121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN SALAR Managing Member 310-968-0562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NV s6-120) |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2015-08-03 |