| NPI | 1043330152 |
|---|---|
| Other Name | IPDO |
| Entity Type | Organization |
| Authorized Contact | DAVID BERGEMAN HAAG Partner 949-559-0674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 15673) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-08-22 |