NPI | 1821411968 |
---|---|
Doing Business As | CHILDREN'S DENTAL SPECIALIST SOUTHBAY |
Entity Type | Organization |
Authorized Contact | LENISE YARBER President/Dentist 310-327-7969 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 61393) |
Enumeration Date | 2014-01-25 |
Last Update Date | 2014-01-25 |