| NPI | 1881005023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLIZE AYOUB Dentist/ Office Manager 714-848-0910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 57890) |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2020-08-18 |