| NPI | 1295207041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN P. PESH President/Orthodontist 951-698-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2018-12-18 |