| NPI | 1659171650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA SCHNEIDER Clinical Director 562-425-9453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2025-03-18 |
| Last Update Date | 2025-03-18 |