| NPI | 1255537395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLENE ALEXANDER MILLER President 714-544-5337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: CA 55613) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2011-02-16 |