| NPI | 1720379522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER MOLAYEM Director 310-927-9012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 24716) |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2011-04-27 |