| NPI | 1326141870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE L FORBES Owner 323-231-2108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 28926) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2020-08-22 |