NPI | 1598290819 |
---|---|
Doing Business As | H2 PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | SAGE MONROE HUMPHRIES Owner/President 714-997-5961 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 53072) |
Enumeration Date | 2017-04-24 |
Last Update Date | 2018-04-04 |