| NPI | 1417224981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDI RIDDLE CEO 661-273-1750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA D21067) |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2011-11-28 |