| NPI | 1023370426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN ROBERTA DORNAN Owner 714-544-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 30107) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2018-02-08 |