| NPI | 1487987582 |
|---|---|
| Doing Business As | GARDENA FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | KIYOMI YAMAZAKI CEO 310-327-9130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Additional Taxonomies | 1223G0001X Dentist General Practice |
| 1223P0221X Dentist Pediatric Dentistry | |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2013-10-16 |