| NPI | 1255584280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID KENNEDY Partner 949-661-3336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 51346) |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2008-11-04 |