| NPI | 1003479684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSS PULVER President 714-681-5373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2019-04-18 |