| NPI | 1568680254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE A. WOODS Dentist Owner 310-676-2922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 35555) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-08-22 |