| NPI | 1528262813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT FULTON CHILDS President 714-378-2705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 25688) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2020-08-22 |