NPI | 1780754382 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT ALAN SMITH President 661-322-2071 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 30006) |
Enumeration Date | 2006-11-09 |
Last Update Date | 2020-08-22 |