| NPI | 1225841539 |
|---|---|
| Doing Business As | THE HAWTHORNE DENTIST |
| Entity Type | Organization |
| Authorized Contact | DAVID GANJI Owner 818-439-9954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-01-30 |
| Last Update Date | 2025-01-30 |