NPI | 1083202766 |
---|---|
Entity Type | Organization |
Authorized Contact | IULIAN GEORGESCU COO 949-427-1122 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2021-01-07 |
Last Update Date | 2021-06-09 |