| 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 |