| NPI | 1609389949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL HARVEY LEE Owner 949-885-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 56861) |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2017-11-08 |