| NPI | 1750690954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH R. MICHERI Dentist/Owner 213-380-2008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 36583) |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2010-10-05 |