| NPI | 1033291133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD FREDRICK FOUSHEE Corporate President Dentist 949-448-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 031610) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2015-11-04 |