| NPI | 1326413584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL J IANNOTTI Owner Dentist 661-481-0884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 61318) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 61318) |
| 1223E0200X Dentist, Endodontics (Licence: CA 61318) | |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2015-12-14 |