NPI | 1811184674 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVE SUTHERLAND President 310-318-3303 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 43862) |
Enumeration Date | 2007-09-26 |
Last Update Date | 2007-09-26 |