| NPI | 1306223623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA V BARBANELL Secretary 562-923-0038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: CA 22129) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2015-05-06 |