| NPI | 1992914196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM MATOSKA Periodontist 213-481-0664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: CA 26091) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |