| NPI | 1407074131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HACKMAN YEE President 714-963-2993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: CA 27221) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-08-22 |