| NPI | 1376609669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHESLEY R HOUSKE Owner/Dentist 310-782-2008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 32425) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2013-09-06 |