| NPI | 1407991466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE MICHEAL GLOVER Owner 949-583-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 37670) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2014-08-28 |