| NPI | 1346364700 |
|---|---|
| Doing Business As | FULLERTON FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | SHIRLEY T LEE President 714-871-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 46096) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2008-08-01 |