| NPI | 1669207957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENNY KOHANTEB Dentist 818-631-3368 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223E0200X Dentist Endodontics |
| 1223P0106X Dentist Oral and Maxillofacial Pathology | |
| 1223P0221X Dentist Pediatric Dentistry | |
| 1223P0300X Dentist Periodontics | |
| Enumeration Date | 2024-09-05 |
| Last Update Date | 2024-09-05 |