| NPI | 1225100985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK CHRISTOPHER RAYMER Dentist Dental Provider 949-646-2481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 31688) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-08-22 |