| NPI | 1881718740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN D. WILLENS President 818-846-1733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: CA 26726) |
| Enumeration Date | 2007-03-18 |
| Last Update Date | 2020-08-22 |