| NPI | 1396052734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARDO CORREA Owner 714-538-5582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 53901) |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2015-09-16 |