| NPI | 1477877116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC OLIN JOHNSON Doctor/President 310-540-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 34125) |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2010-05-06 |