| NPI | 1770955809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN ROSENBERG Dentist/Owner 310-649-2430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA DB036871-01) |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2015-10-28 |