| NPI | 1528070703 |
|---|---|
| Doing Business As | WILSHIRE CENTER DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | GREGORY D KAPLAN Dentist/Administrator 213-386-3336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 32932) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: CA 32932) |
| 1223G0001X Dentist, General Practice (Licence: CA 32932) | |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 32932) | |
| 1223P0300X Dentist, Periodontics (Licence: CA 32932) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 32932) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 32932) | |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2008-07-01 |