| NPI | 1922177989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY VINCENT Bookkeeper 310-545-4549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 17737) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2020-08-22 |