NPI | 1508088675 |
---|---|
Doing Business As | PASADENA MEDICAL/DENTAL SPECIALIST |
Entity Type | Organization |
Authorized Contact | PATRICE A WYNDHAMSMITH Office Manager 626-795-9328 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 46195) |
Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: CA 41122) |
1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 49312) | |
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 37519) | |
Enumeration Date | 2007-05-02 |
Last Update Date | 2015-10-15 |