| NPI | 1700374741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL L LUTHER Owner Orthodontist 951-242-0779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: CA 23125) |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2018-10-18 |