NPI | 1861682759 |
---|---|
Entity Type | Organization |
Authorized Contact | YURY B. 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 | 2015-01-16 |