| NPI | 1255705935 |
|---|---|
| Doing Business As | MODERN AMERICAN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JOEL DAVID GOULD President 310-640-0967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 48276) |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2015-11-18 |