| NPI | 1588654073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID WASFY KELLINY President/ Dentist 310-793-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 43354) |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2014-10-07 |