| NPI | 1881807253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE PAULETTE BERGER President 818-889-2061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 25670) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |