| 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 |