| NPI | 1477097616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARIN FONG Owner/President 714-848-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 41079) |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2016-12-07 |