| NPI | 1952857997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN HOFKES Dentist Owner 562-584-4082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 59962) |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2016-08-30 |