NPI | 1972294676 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFERY WHEELER CEO 818-814-9800 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Additional Taxonomies | 207L00000X Anesthesiology |
Enumeration Date | 2023-05-15 |
Last Update Date | 2024-02-15 |