| NPI | 1942348107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGEY SIRENKO President 310-454-0388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 39886) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-08-22 |