| NPI | 1730390287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LAWRENCE KELLY Owner 626-445-1181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 29322) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2008-07-09 |