| 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 |