NPI | 1902940406 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT ALLAN FOSS President 626-282-4195 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 28550) |
Enumeration Date | 2007-02-16 |
Last Update Date | 2012-01-24 |