NPI | 1386867372 |
---|---|
Entity Type | Organization |
Authorized Contact | RONALD WINSTON TROSPER President 949-492-7140 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 20478) |
Enumeration Date | 2007-04-10 |
Last Update Date | 2012-12-27 |