| NPI | 1801030044 |
|---|---|
| Doing Business As | FUN ZONE DENTAL |
| Entity Type | Organization |
| Authorized Contact | MICHAEL JAMES WHITE CEO 213-596-8056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 34257) |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2009-12-22 |