| NPI | 1801219225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN D. MELTZNER Managing Partner 310-800-5797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: OK 3690) |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2014-01-22 |