| NPI | 1316665136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN EVANS BROTHERS President 310-809-3527 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2022-08-17 |
| Last Update Date | 2022-08-24 |