| NPI | 1306953112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WHITAKER Orthodontist 310-543-2711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: CA 23415) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2014-10-13 |