| NPI | 1356834188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN B SHEPHERD President 714-962-2471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 102301) |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2018-06-06 |