| NPI | 1285075838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARD STEPHEN VAUGHAN Owner 949-297-8880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: CA OMS 61) |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2020-05-04 |