| 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 |