| NPI | 1386791895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAGMAR JOHANNA RAMSTRUM Owner 323-753-1411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 23134) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-08-22 |