| NPI | 1710073242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARDEEP SINGH BRAR Partner 310-641-2220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 52043) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 52407) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-08-27 |