| NPI | 1578938262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL LOUIS ROSENTHAL Dentist, President 818-633-0784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 62534) |
| Enumeration Date | 2015-12-06 |
| Last Update Date | 2015-12-06 |