| NPI | 1619189586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA ROBERTS President 949-581-5151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 46424) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2008-10-21 |