| NPI | 1548474984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT STEVEN VON WENDT Owner 323-466-8607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 41126) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |