| NPI | 1750593976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRIAN KRUGLIY Office Manager 818-347-0340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 46126) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2013-03-22 |