| NPI | 1083866503 |
|---|---|
| Doing Business As | CRESTVIEW DENTAL |
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN ALEXANDER PHAM President 714-206-0372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NV 5342) |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2008-10-15 |