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 |