NPI | 1558568527 |
---|---|
Doing Business As | FULLERTON PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | RICHARD SANG LEE VP 714-992-5437 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 44807) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 37335) |
Enumeration Date | 2007-07-02 |
Last Update Date | 2008-09-04 |