| NPI | 1972983997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN SHERRY Medical Doctor 310-914-9150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0004X Dentist, Dentist Anesthesiologist Speciality (Licence: TX M6394) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2015-06-04 |