NPI | 1770591026 |
---|---|
Doing Business As | BREA DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | JOHN C WHITWORTH Dentist Owner 714-672-9000 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 23398) |
Enumeration Date | 2006-08-03 |
Last Update Date | 2015-07-06 |