| NPI | 1497977904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLOYD JESSE CAWTHON President 310-659-5430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA DG32043) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2009-01-16 |