EUGENE WINDOM

LOS ANGELES, CA
NPI1770885006
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: CA  27400)
Enumeration Date2010-11-18
Last Update Date2010-11-18
Business Address
-- EUGENE WINDOM
1212 MCCLELLAN DR
LOS ANGELES, CA 90025-1066
Phone number: 310-838-9863
Mailing Address
-- EUGENE WINDOM
10801 VENICE BLVD
LOS ANGELES, CA 90034-7103
Phone number: 310-836-3476