| NPI | 1649655333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KURT STURZ President 661-588-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 53732) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 58113) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 62294) | |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2015-07-23 |