| NPI | 1144520248 |
|---|---|
| Doing Business As | TUSTIN DENTAL WELLNESS |
| Entity Type | Organization |
| Authorized Contact | JOANNE LYNNE SANTARINA FERNANDO President 714-573-1086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 54582) |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2013-05-02 |