| NPI | 1497169759 |
|---|---|
| Doing Business As | HERMAN OSTROW SCHOOL OF DENTISTRY MOBILE CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHARLENE FLOWERS Director Of Clinical Finance 213-740-7405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA D53653) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2014-10-22 |