NPI | 1265588412 |
---|---|
Doing Business As | MID WILSHIRE DENTAL CARE |
Entity Type | Organization |
Authorized Contact | MARK SROL LASKA Owner 213-386-3348 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 21155) |
Enumeration Date | 2007-01-27 |
Last Update Date | 2020-08-22 |