| NPI | 1528488947 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | STEVE J. KEISER Dentist/Owner 714-538-1178  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 122300000X Dentist | 
| Additional Taxonomies | 124Q00000X Dental Hygienist | 
| Enumeration Date | 2014-04-24 | 
| Last Update Date | 2014-04-24 |