NPI | 1225573009 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES L WINTERTON President 949-760-6022 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 63531) |
Enumeration Date | 2017-01-03 |
Last Update Date | 2017-01-03 |