| NPI | 1316958929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK B LIEBERMAN President 310-826-7863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 22637) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2020-08-22 |