| NPI | 1376002279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL DAWOOD Owner 714-956-0857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Additional Taxonomies | 1223S0112X Dentist Oral and Maxillofacial Surgery |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2019-03-19 |