| NPI | 1518554641 |
|---|---|
| Doing Business As | LOLLIPOP PEDIATRIC DENTISTRY & ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | MARY REGINA PHAM CEO Pediatric Dentist 714-528-8252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2020-12-22 |
| Last Update Date | 2020-12-22 |