| NPI | 1366968018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD ALLEN CORN Dentist 310-854-1845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 35043) |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2022-11-02 |