NPI | 1467661025 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS E. HANSON Owner 562-421-9411 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 25898) |
Enumeration Date | 2007-05-21 |
Last Update Date | 2020-08-22 |