| NPI | 1992121891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIE NARITA President 310-543-7788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 41489) |
| Additional Taxonomies | 1223P0300X Dentist Periodontics (Licence: CA 47136) |
| Enumeration Date | 2014-03-16 |
| Last Update Date | 2014-03-16 |