| NPI | 1649526401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DOUNEL Dentist 310-325-8555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 54602) |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2012-07-31 |