| NPI | 1366457731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INNA KAGAN President Of Corporation 818-705-0111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 43984) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2012-09-14 |