NPI | 1023227337 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN GABRIEL SCALAS Partner 714-827-4990 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 47559) |
Additional Taxonomies | 122300000X Dentist (Licence: CA 19360) |
Enumeration Date | 2007-05-22 |
Last Update Date | 2020-08-22 |