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 |