| NPI | 1336580182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN L COHEN Orthodontist 310-785-0770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2013-07-09 |