| NPI | 1245552769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERARD FRANKEL Owner 310-836-3476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 14086) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: CA 47215) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 53910) | |
| Enumeration Date | 2010-02-25 |
| Last Update Date | 2010-02-25 |