| NPI | 1902145246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD PAUL MUNGO Dentist 714-841-4990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 29634) |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2013-02-06 |