| NPI | 1205114501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HIDEKI IKEDA Dentist 714-893-7539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 58404) |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2011-08-03 |