| NPI | 1790957801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMONA BENYAMIN Office Manager 310-273-7397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 46754) |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2008-03-28 |