| NPI | 1891914495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENNAN L. HUGHES President 818-893-7858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: FL 39280) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |