NPI | 1902148927 |
---|---|
Entity Type | Organization |
Authorized Contact | PERCY MILLS Manager 310-672-7822 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 29015) |
Enumeration Date | 2013-03-18 |
Last Update Date | 2013-03-18 |