| NPI | 1316962095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL P ADAMS Owner 310-545-6525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 25228) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-08-22 |