| NPI | 1669953691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMYA BALA SUBRAMANIAN Dentist 714-852-2274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 60717) |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2018-08-28 |