| NPI | 1861594301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | A. STEPHEN HELLER President 949-830-4270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CA D25263) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: CA 25263) |
| Enumeration Date | 2006-09-04 |
| Last Update Date | 2014-06-04 |