| NPI | 1437204070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY A. SULITZER Owner 661-272-9181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA D51841) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2010-11-03 |