| NPI | 1104838531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY R WINLSOW President 714-953-6881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 19991) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2020-08-22 |