| NPI | 1750592093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | E. CARMEL PRADEL President 310-276-8317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA DG033975) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2009-04-16 |