| NPI | 1821289166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERLE YANEZA Dentist 818-830-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA D27219) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA D27219) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2007-08-01 |