| NPI | 1366109357 |
|---|---|
| Doing Business As | M DENTAL STUDIO |
| Entity Type | Organization |
| Authorized Contact | MATT PHAN Owner 949-440-1105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-11-24 |
| Last Update Date | 2021-11-24 |