| NPI | 1447383211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD M KAMINISHI President 562-866-3727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: CA 19911) |
| Additional Taxonomies | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: CA 25720) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2009-04-09 |