| NPI | 1700037710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE A. MARANON Owner 818-344-0110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA D32127) |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2008-10-08 |