| NPI | 1306055363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE S. TRUDGEON Pres 818-365-6339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 23049) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |