| NPI | 1467413773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN A PHAM General Dentist 661-277-2872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 286500000X Military Hospital (Licence: MA 21258) |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2020-08-22 |