| NPI | 1619014172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE GEORGIEFF President 714-545-0437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: CA D16525) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-22 |