NPI | 1538637624 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER M MESSENGER President 714-500-7147 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2018-11-06 |
Last Update Date | 2018-11-06 |