| NPI | 1861558207 |
|---|---|
| Doing Business As | OC TOOTH FAIRY DENTAL |
| Entity Type | Organization |
| Authorized Contact | MINDY T PHAN CEO 714-539-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA d49392) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2020-08-22 |