| NPI | 1851649123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH LINDON MCQUIRTER President 310-701-1963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2012-08-17 |
| Last Update Date | 2012-08-17 |