| NPI | 1831455237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD SHAPIRO President 805-929-6814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 54766) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CA 54766) |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2012-05-09 |