| NPI | 1457672149 |
|---|---|
| Doing Business As | AZUSA DENTAL |
| Entity Type | Organization |
| Authorized Contact | DENNIS R FRATT Owner 714-428-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2010-06-16 |