| NPI | 1629282355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERI BIRKENBACH Office Manager 949-470-3672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CA 41907) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |