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 |