NPI | 1518184480 |
---|---|
Entity Type | Organization |
Authorized Contact | LYUDMILA GUTGARTS President 323-654-2840 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 32087) |
Enumeration Date | 2007-04-20 |
Last Update Date | 2020-08-22 |