| NPI | 1306614128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARENA CRAEMER CEO 310-343-0234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2023-12-12 |
| Last Update Date | 2023-12-12 |