| NPI | 1326707704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANE B PATEL Owner Dentist 714-771-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2021-12-13 |
| Last Update Date | 2022-03-03 |