| NPI | 1790311447 |
|---|---|
| Other Name | CS ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | MARK KELLY Director, Prof Revenue Cycle 714-509-7861 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 122300000X Dentist |
| 1223G0001X Dentist, General Practice | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| 126800000X Dental Assistant | |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2020-03-13 |