NPI | 1528173879 |
---|---|
Entity Type | Organization |
Authorized Contact | BJARNE KVARNSTROM President 714-962-2471 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 49352) |
Enumeration Date | 2006-08-20 |
Last Update Date | 2020-08-22 |