| NPI | 1376109249 |
|---|---|
| Doing Business As | IRVINE ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | TAREK ABOUSHETA President 314-853-5642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2019-06-11 |