| NPI | 1871624387 |
|---|---|
| Doing Business As | FULLERTON PEDIATRIC DENTISTRY & ANESTHESIA CENTER |
| Entity Type | Organization |
| Authorized Contact | RICHARD S LEE President 714-992-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 44807) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |