| NPI | 1780190918 |
|---|---|
| Doing Business As | MATLOCK FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | SEUNG SONG Owner 714-309-2320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 29544) |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2018-02-08 |