NPI | 1861638132 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD F STAFFORD Owner 323-856-9502 |
Organization Subpart ? | No |
Primary Taxonomy | 1223D0004X Dentist, Dentist Anesthesiologist Speciality (Licence: CA 27491) |
Enumeration Date | 2008-12-17 |
Last Update Date | 2015-12-28 |