| NPI | 1528346327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PREET TAKKAR Chief Information Officer 714-571-3372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2019-10-28 |