NPI | 1871026682 |
---|---|
Entity Type | Organization |
Authorized Contact | SHEILA LUWIHARTO Owner/Dentist 949-768-0211 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 60139) |
Enumeration Date | 2017-04-07 |
Last Update Date | 2017-04-07 |