NPI | 1053996033 |
---|---|
Entity Type | Organization |
Authorized Contact | MARTIN CARL WRITER President 714-637-4200 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
Enumeration Date | 2021-03-11 |
Last Update Date | 2021-04-26 |