| NPI | 1154786218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW TADROS President 714-330-3665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 28386) |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2015-12-16 |