| NPI | 1366852808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VLADIMIR Y KORBATOV General Dentist/Owner 323-654-2607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 25564) |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2014-05-06 |