| NPI | 1396953659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY M. PIROUTEK President 714-524-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 28225) |
| Enumeration Date | 2007-05-19 |
| Last Update Date | 2020-08-22 |