| NPI | 1396841748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY EARL ROBINS Sole Owner/President 323-721-0799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 26699) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2008-12-01 |