| 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 |