| NPI | 1699933291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL P ADAMS Owner/Partner 310-545-6525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: CA 25228) |
| Additional Taxonomies | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: CA 53065) |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2008-05-30 |