| NPI | 1134254279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMARA CRANDALL Orthodontist 714-202-5648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 38029) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-04-21 |