| NPI | 1851873590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARI CARROLL President 310-357-4414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 64148) |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2018-08-29 |