| NPI | 1578771614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL ERIC LEVIN CEO 714-842-2521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA D25001) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2014-05-28 |