| 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 |