| NPI | 1851581748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YURY GEYLIKMAN CEO 323-656-9111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: CA 41255) |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2007-09-12 |