| NPI | 1558680264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA PARKER Share Holder 714-289-0421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 50505) |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2010-05-19 |