| NPI | 1720173198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK RAYMOND BIEBER Owner 818-842-3932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 31403) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 40540) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2009-02-11 |