| NPI | 1215345285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA BATTISTA Director Of Operations 949-548-5588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 61747) |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2014-07-23 |