| NPI | 1851576078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGIE NILE Treatment Coordinator 310-542-7331 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 26035) |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2008-01-07 |