| NPI | 1417208067 |
|---|---|
| Doing Business As | HAWTHORNE DENTAL |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY D VERNY President 310-973-6428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 48778) |
| Enumeration Date | 2012-09-23 |
| Last Update Date | 2012-09-23 |