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 |