| NPI | 1245629427 |
|---|---|
| Doing Business As | ALICIA ORTHODONTIC & PEDIATRIC SPECIALTIES |
| Entity Type | Organization |
| Authorized Contact | DEBBIE CANU Finance Manager 949-600-7046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 44328) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 48814) |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2015-01-12 |