| NPI | 1457895492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN C NEWMAN President 310-913-4543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X2210X Dentist, Orofacial Pain |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 42582) |
| Enumeration Date | 2016-12-09 |
| Last Update Date | 2021-09-08 |