| NPI | 1346570215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOHN PAYNE Owner 310-828-4451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 52912) |
| Enumeration Date | 2009-12-28 |
| Last Update Date | 2009-12-28 |