| NPI | 1700078284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK W LEE President 949-833-7888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: CA 46094) |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2007-08-17 |