| NPI | 1952672107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN KUPFERMAN Medical Doctor 310-914-9150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A97977) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA A97977) |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2012-01-19 |