| NPI | 1699198622 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MICHAEL CALVIN MCCLANE President 562-698-6684  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 34380)  | 
| Enumeration Date | 2014-01-27 | 
| Last Update Date | 2014-06-26 |