| NPI | 1902236045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLENE FLOWERS Director Of Clinical Finance 213-740-7405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA SP254) |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2013-11-26 |