| NPI | 1609936525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES SPENCER BYAS Director 310-608-2353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 25679) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2015-02-09 |