| NPI | 1649119702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC NORDBERG Doctor Owner 213-842-4699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2026-03-25 |
| Last Update Date | 2026-03-25 |