| NPI | 1427187996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHEL ELYSON Corporate President 323-263-2125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 40135) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 40605) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2013-02-01 |