| NPI | 1982937843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACHARY ALLEN CARNOW General Dentist 323-723-8249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 58697) |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2009-09-10 |