| NPI | 1205460334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIANNA FERRALL Orthodontic Treatment COO Rdinator 562-397-9279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2020-03-13 |