| NPI | 1528223997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY KONO Office Manager 818-894-5777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 16063) |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2008-07-24 |