| NPI | 1811180995 |
|---|---|
| Doing Business As | CULVER WESTSIDE DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | LOIS EVANS Administrator 310-390-6272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2007-08-22 |