| NPI | 1750505202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD LEE Dental Director 714-432-7337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: CA 44807) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |