| NPI | 1568645216 |
|---|---|
| Other Name | ABC DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | SAM MOUCHAMEL Owner 818-557-2299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 40861) |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2007-12-17 |