NPI | 1265973275 |
---|---|
Doing Business As | TUSTIN AVENUE DENTAL TEAM |
Entity Type | Organization |
Authorized Contact | CHRISTINE P OH President 714-543-9762 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 34642) |
Enumeration Date | 2017-03-10 |
Last Update Date | 2022-07-21 |