| NPI | 1255965562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID HARRIS Owner/Dds 949-689-0556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2020-02-25 |