| NPI | 1598350100 |
|---|---|
| Other Name | CENTER FOR RECONSTRUCTIVE DENTISTRY & ORAL SURGERY, PC |
| Entity Type | Organization |
| Authorized Contact | HELENA MALOUS MINYE Chief Dental Officer 818-312-5819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2021-03-05 |
| Last Update Date | 2021-03-05 |