| NPI | 1063061976 |
|---|---|
| Other Name | AXIOM EAST |
| Entity Type | Organization |
| Authorized Contact | BEATRIZ HERNANDEZ Supervisor 714-578-6591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2019-09-04 |