| NPI | 1346529641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | URSULA CHRISTINE LEVINE CEO 949-727-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 48950) |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2011-08-04 |