| NPI | 1619312634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE BATEMAN-GANZ Owner 562-425-1196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 29555) |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2013-05-03 |