| NPI | 1649738980 |
|---|---|
| Doing Business As | SOCAL ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | GARRETT DACKER President 626-484-0075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2019-03-06 |