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 |