| NPI | 1962905919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLY V MOSER Owner Dentist 818-430-6948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: TX 31540) |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2018-03-16 |