| NPI | 1720244247 |
|---|---|
| Doing Business As | SPECTRUM DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | WAYNE I WU CEO 949-788-0088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 44128) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 50694) |
| 1223P0300X Dentist, Periodontics (Licence: CA 40065) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 46349) | |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2011-05-11 |