| NPI | 1457978405 |
|---|---|
| Doing Business As | SOUTH OC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JOHN DENNIS DELORME Owner / President 949-581-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2020-06-25 |