| NPI | 1306187935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT C BRAZEAL President 310-795-0585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 54954) |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2013-03-06 |