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 |