| NPI | 1437267945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE KEVIN CAIRNS Co Owner 949-642-6880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 36896) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 16648) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2020-08-22 |