| NPI | 1801160635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL DIANE BINGHAM President/ Secretary 323-564-7504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 34818) |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2012-02-24 |