NPI | 1437378841 |
---|---|
Entity Type | Organization |
Authorized Contact | GEORG KIRIAK Owner Partner 949-347-0807 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 39169) |
Additional Taxonomies | 122300000X Dentist (Licence: CA 41116) |
Enumeration Date | 2007-04-24 |
Last Update Date | 2020-08-22 |