| NPI | 1881066710 |
|---|---|
| Doing Business As | LITTLE HEROES OF ORANGE COUNTY PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | AZADEH AHMADI-ARDAKANI CEO 949-291-8196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CA 59353) |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2015-10-30 |