| NPI | 1548263452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ANDREW GUIJON President 714-847-2566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 42730) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2020-08-22 |