| NPI | 1306178124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT FISHMAN CEO 562-927-6453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: CA 42311) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: CA 42311) |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2010-03-26 |