| NPI | 1538389069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANDSEN DORSEY MAXWELL CEO,President,Dentist 310-216-0971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 35944) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2008-09-30 |