| NPI | 1609888098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY R. ALSOBROOK Office Manager 310-278-9624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 41129) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2020-08-22 |