| NPI | 1992122154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CODY E CIRAC Owner / Dentist 310-658-3999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 63317) |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2014-03-26 |