| NPI | 1891790390 |
|---|---|
| Doing Business As | SOUTH OC PEDIATRIC DENTISTRY & ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | JOHN DENNIS DE LORME Dentist/Owner 949-581-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA O-118872-L) |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2019-09-05 |