| 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 |