| NPI | 1720396906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT ANTHONY TANGEMAN Dentist/President 661-835-8785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 031870) |
| Enumeration Date | 2010-09-21 |
| Last Update Date | 2010-09-21 |