| NPI | 1043652951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NALINI MONITA JOKMELS President 714-993-3702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 56538) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 56538) |
| 1223D0001X Dentist Dental Public Health (Licence: CA 56538) | |
| 1223E0200X Dentist Endodontics (Licence: CA 56538) | |
| 1223P0221X Dentist Pediatric Dentistry (Licence: CA 56538) | |
| 1223P0300X Dentist Periodontics (Licence: CA 56538) | |
| 1223P0700X Dentist Prosthodontics (Licence: CA 56538) | |
| 125J00000X Dental Therapist (Licence: CA 56538) | |
| 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: CA 56538) | |
| 122400000X Denturist (Licence: CA 56538) | |
| 125K00000X Advanced Practice Dental Therapist (Licence: CA 56538) | |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2013-07-19 |