| NPI | 1679794028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD M KIRSHBAUM President 818-788-8840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 17110) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |