| NPI | 1568753861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART ROBERT SHLOSBERG Prosthodontist 310-278-6630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: CA 36611) |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2011-04-21 |