| NPI | 1518404219 |
|---|---|
| Doing Business As | PLACENTIA DENTAL STUDIO |
| Entity Type | Organization |
| Authorized Contact | MICHAEL DIEP President 714-335-0514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 51573) |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2017-01-19 |