| NPI | 1083915664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE BENBASSAT President 949-863-9620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2012-01-10 |