| NPI | 1447429303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANEESH A. BANSAL Administrator 323-478-1101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 39940) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2008-02-25 |