| NPI | 1447478599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN NEWHART Vice President 310-550-1533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 30611) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |