NPI | 1245553072 |
---|---|
Entity Type | Organization |
Authorized Contact | EZZ DEAN AZZEH Orthodontist/Owner 714-544-0200 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 55883) |
Enumeration Date | 2010-03-08 |
Last Update Date | 2010-03-08 |