NPI | 1619064292 |
---|---|
Doing Business As | MISSION DENTAL GROUP AND ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | REBEKAH R BALLARD Owner Dds 949-582-8400 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2006-10-06 |
Last Update Date | 2013-11-19 |