| NPI | 1851317481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK DONALD GROSSMAN President 818-242-4526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 25716) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2020-08-22 |