| NPI | 1396954863 |
|---|---|
| Doing Business As | SAN PEDRO DENTAL |
| Entity Type | Organization |
| Authorized Contact | DENNIS R FRATT Owner 714-428-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |