| NPI | 1710436407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY CARTER ROBINSON Dds 562-293-7339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MD 15559) |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2016-09-23 |