| NPI | 1215063383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDDY SHUBIN SHEA Owner 949-475-1898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 37337) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2008-10-07 |