| NPI | 1427465863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY HAROLD JORDAN President 818-225-7768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 28575) |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2014-07-17 |