| NPI | 1356661672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURENCE DAVID COHEN President 310-378-8861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 21862) |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2010-06-09 |