| NPI | 1568625770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONIA R WARREN Owner 310-539-4166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 42403) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2013-01-02 |