| NPI | 1235258823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA HYLTON Insurance Coordinator 661-665-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA DY033498) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |