| NPI | 1790141356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DMITRY G AMINOV Partner 949-935-4457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 55889) |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2016-01-12 |