| NPI | 1407112261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA KUPCHIK Dentist 213-479-9547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NY 055641-1) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2012-04-05 |