NPI | 1538608831 |
---|---|
Doing Business As | PINECREST DENTISTRY |
Entity Type | Organization |
Authorized Contact | JONATHAN BRIDWELL Credentialing Admin 714-845-8231 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2017-02-20 |
Last Update Date | 2017-02-20 |