| NPI | 1336280684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE ALAN WOLFF Owner 818-986-2994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 32235) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2007-09-05 |