| NPI | 1811106073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT R SMITH Owner 310-273-5775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 21512) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |