| NPI | 1316151202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONTE MATTHEW MONTGOMERY Owner Xray Technician 714-835-7260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0008X Dentist, Oral and Maxillofacial Radiology (Licence: CA RHP 52036) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |