NPI | 1679917439 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE TO President 818-789-3844 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 46337) |
Enumeration Date | 2013-04-24 |
Last Update Date | 2013-04-24 |