| NPI | 1447664404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARISSE M CORNS President 213-500-6789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IN 12011775a) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2014-06-18 |