| NPI | 1992163786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCHELLE BACHE Manager 310-794-5750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 277 (special permit)) |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2016-02-08 |