| 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 |