| NPI | 1225438922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYED JAMIL HAWATMEH Dentist 714-987-6916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 49108) |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2019-12-18 |