| NPI | 1295044675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW LEONARD CILDERMAN President 714-695-9992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 57152) |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2010-10-01 |