| NPI | 1912020595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINA MANDELMAN Partner 805-522-2164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA D 44936) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |