NPI | 1356631014 |
---|---|
Doing Business As | TRABUCO HILLS DENTISTRY |
Entity Type | Organization |
Authorized Contact | AMI KAGALWALA President 949-859-1400 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 47915) |
Enumeration Date | 2011-04-14 |
Last Update Date | 2011-04-14 |