NPI | 1811910987 |
---|---|
Entity Type | Organization |
Authorized Contact | PETER M KELLEN President 949-586-0270 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA D21375) |
Enumeration Date | 2006-07-26 |
Last Update Date | 2008-07-25 |