| NPI | 1174876502 |
|---|---|
| Doing Business As | FULLERTON CALIFORNIA DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | ROBERT J WOLIN Owner 773-278-6655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019015570) |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2012-10-23 |