NPI | 1437707965 |
---|---|
Entity Type | Organization |
Authorized Contact | LILIANA MARTINEZ Director Payer Contracting 714-428-1326 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2019-08-28 |
Last Update Date | 2019-08-28 |