| NPI | 1447466529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIE MAKHOUL Dentist 949-364-3724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA DY031948) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2014-01-17 |