NPI | 1336369768 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES ROBERT BACQUET C.E.O. 818-841-5654 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 27725) |
Enumeration Date | 2007-04-26 |
Last Update Date | 2020-08-22 |