| NPI | 1811350614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN D SHERRY Medical Doctor 310-914-9150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX M6394) |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2016-03-30 |