| NPI | 1366593097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL B BANAWIS Dentist 626-357-9801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 49278) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2016-07-20 |