| NPI | 1700206737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS MICHAEL BOONE Dentist/Owner 714-606-9194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 34661) |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2014-04-17 |