| 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 |