| NPI | 1669723136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIRARD G BRENNEMAN CEO 818-428-9257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 28656) |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2012-09-25 |