| NPI | 1881918936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC KARDOVICH Owner 310-831-0348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 42558) |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2010-03-18 |