| NPI | 1326174160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS B. LEE President 818-368-6694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 37859) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2009-06-29 |