NPI | 1184700643 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES E. STIREWALT Owner 714-428-1300 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 32504) |
Enumeration Date | 2006-10-27 |
Last Update Date | 2022-07-21 |