NPI | 1609982461 |
---|---|
Other Name | A PROFESSIONAL CORPORATION |
Entity Type | Organization |
Authorized Contact | MARVIN A SAGERMAN Owner 661-255-7530 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 19156) |
Additional Taxonomies | 122300000X Dentist (Licence: CA 19157) |
Enumeration Date | 2006-08-22 |
Last Update Date | 2020-08-22 |