| NPI | 1386827707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC PANA Orthodontist/ President 310-435-5622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 54184) |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2008-07-31 |