| NPI | 1700910627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES LIONEL FOSTER Owner 323-262-5172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 53412) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2008-08-12 |