| NPI | 1841950573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER KALMANOVICH Owner 949-494-7522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2021-12-21 |
| Last Update Date | 2022-01-07 |