NPI | 1417391616 |
---|---|
Entity Type | Organization |
Authorized Contact | VIVIAN BANARIA President 323-957-9227 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 56586) |
Enumeration Date | 2013-04-18 |
Last Update Date | 2013-04-18 |