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 |