NPI | 1649641499 |
---|---|
Doing Business As | OCEAN RANCH DENTAL |
Entity Type | Organization |
Authorized Contact | JOANNE KARLA GABOT-HEYMAN President 949-661-2000 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 57605) |
Enumeration Date | 2015-10-19 |
Last Update Date | 2015-10-19 |