| NPI | 1437608080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CROUCH Owner 714-532-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 28917) |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2017-02-02 |