| NPI | 1336526623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL ATHANASIUS President 714-282-9131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 59641) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2015-06-11 |