| NPI | 1568682151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY H. KUWABARA President, Owner 714-986-1699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 34455) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2012-10-06 |