| NPI | 1700282548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH JEBREIL President 949-825-6020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 56020) |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2015-04-22 |