| NPI | 1528546264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY BRUMBAUGH President 626-536-6650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2018-08-03 |