| NPI | 1790010809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSA LESSO National Director Of Rcm 714-571-3471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ 4821) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CO 6097) |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2025-11-20 |