| NPI | 1932496387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS F MASCOLA President 310-856-6401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2011-07-06 |