NPI | 1942411830 |
---|---|
Entity Type | Organization |
Authorized Contact | EDUARD GUTGARTS President 323-851-7140 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 28564) |
Enumeration Date | 2007-05-24 |
Last Update Date | 2018-06-29 |