| NPI | 1225174808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK C PHILLIPS Shareholder 661-323-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 33648) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2012-01-05 |