NPI | 1770647885 |
---|---|
Entity Type | Organization |
Authorized Contact | PREET TAKKAR Chief Information Officer 714-571-3372 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 1223G0001X) |
Enumeration Date | 2006-12-21 |
Last Update Date | 2019-10-28 |