| NPI | 1508065715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK SPENCER MARSHALL Owner 323-634-6334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 34163) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2007-07-17 |