| NPI | 1578572194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SHERWOOD President 818-981-0640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 18012) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2020-08-22 |