| NPI | 1801845771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD R. MONTANO President 661-665-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA DY033498) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2020-08-22 |