NPI | 1255491965 |
---|---|
Entity Type | Organization |
Authorized Contact | KEN MORRISON HARADA President 310-837-5121 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 25534) |
Enumeration Date | 2006-12-11 |
Last Update Date | 2020-08-22 |