| NPI | 1609926849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY H PARK-NAH CEO Secretary CFO 714-357-9333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA 54476) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2012-07-20 |