| NPI | 1881816957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICE A WYNDHAMSMITH Office Manager 626-795-9328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 28413) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |