| NPI | 1376290825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE MCKENNA SHERMAN Director Of Operations 714-724-0845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2022-03-04 |
| Last Update Date | 2022-03-07 |