| NPI | 1558551689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH A CALLENDER President 323-296-6711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 16884) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2007-07-25 |