| NPI | 1235679804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA MULLER MABERRY President 949-645-2882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 1223E0200X Dentist Endodontics |
| 1223P0221X Dentist Pediatric Dentistry | |
| 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics | |
| 124Q00000X Dental Hygienist | |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2017-03-02 |