| NPI | 1609190875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLEY O. STARNES President 949-551-6913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 18022) |
| Enumeration Date | 2010-03-17 |
| Last Update Date | 2010-03-17 |