| NPI | 1922174895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BURTON SCHNIEROW President 310-679-0106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 48619) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 16629) |
| 1223P0300X Dentist, Periodontics (Licence: CA 17750) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 43530) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 47526) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 19083) | |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2020-08-22 |