| NPI | 1073525366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PAQUETTE Dentist 714-838-7561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 39194) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2020-08-22 |