| NPI | 1093975146 |
|---|---|
| Other Name | MISSION VIEJO DENTAL ASOCIATES |
| Entity Type | Organization |
| Authorized Contact | ELISA KIELY Office Admistrator 949-586-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 21292) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2008-06-12 |