| NPI | 1417170416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN B. CARNOW Dentist 323-723-8249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 24534) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |