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 |