| NPI | 1366566481 |
|---|---|
| Doing Business As | PACIFIC PARK DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | LILIANI INGE LIEM Dentist Owner 949-362-3668 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 34850) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2008-09-09 |