| NPI | 1972820678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN JACOBSON CEO 818-687-8778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 58210) |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2011-10-13 |