| NPI | 1831413350 |
|---|---|
| Doing Business As | TOOTH BOOTH PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | THAI TOM LAM Owner 818-458-2516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 54770) |
| Enumeration Date | 2010-03-26 |
| Last Update Date | 2010-03-26 |