NPI | 1386096899 |
---|---|
Entity Type | Organization |
Authorized Contact | PATTY BARTON Ins Coord 714-282-2490 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 48630) |
Enumeration Date | 2016-07-08 |
Last Update Date | 2016-07-08 |