| NPI | 1134490451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STELA DIMITROVA-MUNRO Owner 714-738-8452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 56296) |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2012-01-18 |