| NPI | 1255649729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANTHI J APPANNAGARI CEO/General Dentist 714-371-0776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 44286) |
| Enumeration Date | 2010-09-18 |
| Last Update Date | 2022-02-22 |