| NPI | 1083647085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONINO NICOLA RUSCITTO Owner 714-996-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 38222) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2015-02-20 |