NPI | 1396030300 |
---|---|
Entity Type | Organization |
Authorized Contact | JON STANLEY ORCHER President 714-846-2839 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 46510) |
Enumeration Date | 2011-06-17 |
Last Update Date | 2011-06-17 |