| NPI | 1710303466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSA LESSO National Director Of Rcm 714-571-3471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2024-01-05 |