NPI | 1649300575 |
---|---|
Entity Type | Organization |
Authorized Contact | PHILIP H. RUBEN President 323-272-2211 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: CA 18749) |
Enumeration Date | 2007-03-07 |
Last Update Date | 2009-01-29 |