| NPI | 1841655628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORIE MINOR SCOTT Consultant 949-258-9828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CA 54422) |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2015-12-22 |