| NPI | 1760624662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELANA YERUSHALMI NORMAN President/Owner 310-991-6758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 56855) |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2009-03-24 |