NPI | 1326309329 |
---|---|
Doing Business As | LOLLIPOP PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | MARY REGINA PHAM Owner 714-528-8252 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 60222) |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 58404) |
Enumeration Date | 2012-06-06 |
Last Update Date | 2022-02-10 |