| NPI | 1861511941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY ELLEN MCHALE Owner 949-586-6114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 29970) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |