NPI | 1295957918 |
---|---|
Entity Type | Organization |
Authorized Contact | GEOFFREY TOSHIO OKADA Owner 818-843-0668 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 32433) |
Enumeration Date | 2007-05-03 |
Last Update Date | 2020-08-22 |