NPI | 1245516491 |
---|---|
Entity Type | Organization |
Authorized Contact | REX RYUICHI YANASE Partner 310-378-4244 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 1223P0700X Dentist, Prosthodontics |
Enumeration Date | 2011-11-01 |
Last Update Date | 2011-11-01 |