| NPI | 1457861635 |
|---|---|
| Doing Business As | BEACH DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KENNETH WHELAN Owner 949-395-1479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 47583) |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2017-10-02 |