NPI | 1427292770 |
---|---|
Entity Type | Organization |
Authorized Contact | DERIK ALEXANIANS Owner 818-632-5940 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 51319) |
Enumeration Date | 2009-04-29 |
Last Update Date | 2009-04-29 |