| NPI | 1083056204 |
|---|---|
| Doing Business As | BREA RANCH DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KAREN KOO President 714-990-4911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: CA 52071) |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2013-07-30 |