| NPI | 1407078363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH RENZI Pediatric Dentist 714-972-1359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA D29430) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |