| NPI | 1619343118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH BENSON FORER CEO 310-664-7901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA HY13130) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-09-09 |