| NPI | 1255624953 |
|---|---|
| Former Legal Business Name | TRABUCO DENTAL |
| Entity Type | Organization |
| Authorized Contact | TAMMAM SHEABAR Owner 949-597-2444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 50824) |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2011-08-26 |