| NPI | 1093990251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLY LYN SUKUT-NEPPL Partner 714-540-6852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 23270) |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2008-07-23 |