| NPI | 1609298835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DEAN GARDNER President 714-617-5048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 60485) |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2014-01-07 |