| NPI | 1710908991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON L. PATTISON President 310-473-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: CA 22399) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2008-12-03 |