| NPI | 1619074424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK M PAIGE Dentist 661-948-4641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: CA 15421) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |