NPI | 1598270993 |
---|---|
Entity Type | Organization |
Authorized Contact | CAROLYN ELIZABETH CASTANEDA FASSIOLI CEO 949-716-7000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 101094) |
Enumeration Date | 2017-12-07 |
Last Update Date | 2022-02-11 |