| 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 |