| NPI | 1083133201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA OLIVIER Office Administrator 714-842-5593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2022-07-21 |