| NPI | 1376947200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY EDWARD KAHAN Officer 310-728-9581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 63683) |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2014-10-21 |