| NPI | 1386156131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIMESH PATEL Owner 949-459-2866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 52911) |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2017-11-02 |